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Unraveling the role of client-professional communication in
adolescent psychosocial care
Margot Jager
Colofon
This study was conducted within the Research Institute SHARE of the Graduate School of
Medical Sciences, University Medical Center Groningen, University of Groningen and
under auspices of the research program Public Health Research (PHR).
The printing of this thesis was financially supported by the Graduate School of Medical
Sciences, Research Institute SHARE, University Medical Center Groningen, and the
University of Groningen.
Printed by:
Cover image:
Gildeprint - Enschede
iStockphoto.com
ISBN:
978-90-367-8514-3
© 2016 Margot Jager, the Netherlands
All rights reserved. No part of this thesis may be reproduced or transmitted, in any form or
by any means, without permission of the author.
Unraveling the role of
client-professional communication
in adolescent psychosocial care
Proefschrift
ter verkrijging van de graad van doctor aan de
Rijksuniversiteit Groningen
op gezag van de
rector magnificus prof. dr. E. Sterken
en volgens besluit van het College voor Promoties.
De openbare verdediging zal plaatsvinden op
woensdag 24 februari 2016 om 12:45 uur
door
Margot Jager
geboren op 7 juni 1985
te Groningen
Promotores
Prof. dr. S.A. Reijneveld
Prof. dr. E.J. Knorth
Copromotores
Dr. A.F. de Winter
Dr. J. Metselaar
Beoordelingscommissie
Prof. dr. H.W.E. Grietens
Prof. dr. J.C.J.M. de Haes
Prof. dr. A.J. Koole
Paranimfen
Rimke Groenewold
Marieke Nanninga
Vergeet je niet te leven
dacht ik laatst
de tijd hield stil
een adempauze even
en als je nu eens zonder haast
buiten de tijd om wil
slagbomen neergelaten
dolgedraaide wijzerplaten
Onder je door of langs je heen
ze laat voor wat ze zijn en dan
meer lucht en ogen van
het goede aardse zien
een beetje ruimte worden en misschien
iets meer gericht alleen
Kees Hermis
List of abbreviations
C4Youth
Collaborative Centre on Care for Children and Youth with behavioral and
emotional problems
TAKECARE
Tracing Achievements, Key processes and Efforts in professional care for
Children and Adolescents Research
PCH
Preventive child healthcare
CASC
Child and adolescent social care
CAMH
Child and adolescent mental healthcare
DBT
Dialectical behavior therapy
BPD
Borderline personality disorder
CPC
Client-professional communication
AFC
Affective communication
INP
Information provision
SDM
Shared decision-making
IPC
Interprofessional communication
SDQ
Strengths and Difficulties Questionnaire
CQI
Consumer Quality Index
CA
Conversation analysis
Contents
Chapter 1
General introduction
Chapter 2
Priorities in the communication needs of adolescents with
psychosocial problems and their parents
25
Chapter 3
Discrepancies between adolescents’ attributed relevance and
experiences regarding communication are associated with poorer
client participation and learning processes in psychosocial care
47
Chapter 4
Less reduction of psychosocial problems among adolescents with
unmet communication needs
65
Chapter 5
Compliments and accounts: Positive evaluation of reported behavior
in psychotherapy for adolescents
87
Chapter 6
Therapists’ continuations following I don’t know – responses of
adolescents in psychotherapy
117
Chapter 7
General discussion
135
Summary
155
Samenvatting
161
Dankwoord
167
Curriculum Vitae
173
SHARE – previous dissertations
177
9